The Lysholm score

Cross cultural validation and evaluation of psychometric properties of the Spanish version

Document identifier: oai:DiVA.org:ltu-75857
Access full text here:10.1371/journal.pone.0221376
Keyword: Medical and Health Sciences, Health Sciences, Other Health Sciences, Medicin och hälsovetenskap, Hälsovetenskaper, Annan hälsovetenskap, Health Science, Hälsovetenskap
Publication year: 2019
Relevant Sustainable Development Goals (SDGs):
SDG 3 Good health and wellbeing
The SDG label(s) above have been assigned by OSDG.ai

Abstract:

Background

This study aims at assessing the validity and reliability of the Spanish version of the Lysholm score, a widely used instrument for assessing knee function and activity level after ligament injuries.

Methods

Ninety-five participants (67.4% male, 22±5 years) completed the questionnaire twice within 7 days and a subsample of 42 participants completed a test-retest reliability. Reliability, validity and feasibility psychometric properties were studied. The validity of the questionnaire was analysed using ceiling and floor effects. Factor structure and construct validity were analysed with the SF-36, the Hip and Knee Questionnaire (HKQ) and one leg jump test (OLJT).

Results

Criterion validity with the SF-36 Physical State was moderate (r = 0.50 and p<0.01), poor and inverse relationship (r = -0.31, p<0.01) with HKQ and positive moderate (r = 0.59, p<0.01) with OLJT. Measurement error from MDC90 was 3.9%. Exploratory factor analysis demonstrated a one-factor solution explaining 51.5% of total variance. The x2 test for the one-factor model was significant (x2 = 29.58, df = 20, p < 0.08). Test-retest reliability level was high (ICC2.1 = 0.92, p<0.01) and also the internal consistency (α = 0.77).

Conclusion

The Spanish Lysholm score demonstrated that it is a reliable and valid instrument that can be used to assess knee function after ligament injuries.

Authors

Manuel Arroyo-Morales

Department of Physical Therapy, University of Granada, Granada, Spain. Biohealth Research Institute in Granada (ibs.GRANADA), Granada, Spain, Sport and Health University Research Institute (iMUDS), Granada, Spain
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Jose Martin-Alguacil

Orthopedic Surgery Service Hospital Nuestra Señora de la Salud, Granada, Spain
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Mario Lozano-Lozano

Department of Physical Therapy, University of Granada, Granada, Spain. Sport and Health University Research Institute (iMUDS), Granada, Spain
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Antonio I. Cuesta-Vargas

Department of Physical Therapy, Faculty of Health Sciencies, University of Málaga, Andalucia. Instituto de Investigación en Biomedica de Málaga (IBIMA), Grupo de Clinimetria, Malaga, Spain. School of Clinical Sciences, The Queensland University of Technol
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Andrés J. Fernández-Fernández

Department of Physical Therapy, University of Granada, Granada, Spain
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Jose A. González

Department of Computer Science, University of Sheffield, Sheffield, United Kingdom
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Yelverton Tegner

Luleå tekniska universitet; Medicinsk vetenskap
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Irene Cantarero-Villanueva

Department of Physical Therapy, University of Granada, Granada, Spain. Biohealth Research Institute in Granada (ibs.GRANADA), Granada, Spain, Sport and Health University Research Institute (iMUDS), Granada, Spain
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